| Creating a fair and just culture: one institution's pat toward organizational change. | |
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MedLine Citation:
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PMID: 18030864 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Health care organizations have begun to move toward a nonpunitive, or "blame-free," process when analyzing medical errors and near misses. The Dana-Farber Cancer Institute's (Boston) "Principles of a Fair and Just Culture," define for staff and managers behavioral expectations when an error occurs. CREATING THE PRINCIPLES OF A FAIR AND JUST CULTURE: The principles focus not just on patient safety but on a culture of safety and transparency in all the organization's functional areas, including nonclinical departments such as information services, administration, and research. INCORPORATING THE PRINCIPLES INTO PRACTICE: Introducing the principles is a gradual process, one that requires continual education and discussion among staff at all levels and a commitment to examining and changing many of the systems, policies, and procedures that guide the organization's work. A survey conducted in January 2007 revealed that the clinical areas had sustained higher-than-average scores and that the nonclinical areas showed improvement. DISCUSSION: Changing a long-standing culture of blame, control, and disrespect to one that embraces principles of fairness and justice and standards of respectful behavior is a major undertaking. Educating and involving clinical and administrative leaders, who work directly with staff and play a pivotal role in translating the principles into practice, is especially important. |
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Authors:
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Maureen Connor; Deborah Duncombe; Emily Barclay; Sylvia Bartel; Charles Borden; Elizabeth Gross; Carol Miller; Patricia Reid Ponte |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Joint Commission journal on quality and patient safety / Joint Commission Resources Volume: 33 ISSN: 1553-7250 ISO Abbreviation: - Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-11-22 Completed Date: 2008-01-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101238023 Medline TA: Jt Comm J Qual Patient Saf Country: United States |
Other Details:
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Languages: eng Pagination: 617-24 Citation Subset: IM |
Affiliation:
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Dana Farber Cancer Institute, Boston, USA. maureen_connor@dfci.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cancer Care Facilities
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organization & administration*,
standards Guidelines as Topic Humans Inservice Training Massachusetts Organizational Case Studies Organizational Culture* Organizational Innovation Safety Management / organization & administration* Social Justice Staff Development |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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